| NPI | 1639687189 |
|---|---|
| Doing Business As | TC ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CHAD HOLLY KELLY President/Owner 763-420-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MN 11493) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |